100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Galen Med surg Exam 2 Questions with 100% Correct Answers $12.49   Add to cart

Exam (elaborations)

Galen Med surg Exam 2 Questions with 100% Correct Answers

 2 views  0 purchase
  • Course
  • Galen Med surg
  • Institution
  • Galen Med Surg

Galen Med surg Exam 2 Questions with 100% Correct Answers Rehabilitative Nursing Care: Mobility - Answer- Hemiplegia Pressure ulcer prevention ADLs Avoid hot and cold Positioning DVT prophylaxis Rehabilitative Nursing Care: Sensory - Answer- Injury risk to flaccid extremity Homonymous...

[Show more]

Preview 3 out of 24  pages

  • November 9, 2024
  • 24
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Galen Med surg
  • Galen Med surg
avatar-seller
Scholarsstudyguide
Galen Med surg Exam 2 Questions
with 100% Correct Answers

Rehabilitative Nursing Care: Mobility - Answer- Hemiplegia
Pressure ulcer prevention
ADLs
Avoid hot and cold
Positioning
DVT prophylaxis

Rehabilitative Nursing Care: Sensory - Answer- Injury risk to flaccid extremity
Homonymous hemianopsia
Encourage the client to scan the room. Place objects near the client.
Diplopia - eye patch

Rehabilitative Nursing Care: Dysphagia - Answer- Aspiration precautions
NPO until Swallow screening
Thickened, as prescribed
Nutritional alteration

Rehabilitative Nursing Care: Speech - Answer- Aphasia
Receptive - loss of comprehension
Expressive - loss of production of language
Global - total inability to communicate
Perseveration, dysarthia
Be clear and concise
Use cues and gestures
Avoid yes or no questions
Alternative forms of communication.

Rehabilitative Nursing Care: Bowel and Bladder - Answer- Constipation
Stool softeners, as prescribed
Fiber Fitness Fluids
UTI surveillance

Rehabilitative Nursing Care: Ineffective Coping - Answer- Emotional labiality
Psych consult
Care giver support
Be patient with those recovering

,Rehabilitative Nursing Care: Discharge - Answer- HHC
Home safety
Tertiary prevention

Cataracts - Answer- Medical condition characterized by opacity of the crystalline lens.
Most commonly seen in older adults. Causes a gradual, painless, progressive loss of
vision.

Cataracts Pathophysiology - Answer- Lens is mostly protein and water. With aging, lens
loses water, dries up and becomes thicker. As it thickens it loses transparency.

Cataracts Risk Factors - Answer- Advanced age, cigarette smoking, uncontrolled DM,
HLD, HTN, trauma.

Cataract Symptoms - Answer- Visual impairment is the chief complaint. Pt may c/o
blurry, cloudy, hazy, foggy, or yellowing of vision. Also diplopia that doesn't go away
when one eye is covered. Halos—particularly when looking at light or with night-time
driving

PE: Diagnosed with a slit-lamp exam

Cataracts: Treatment - Answer- Treatment is surgical removal of the cataract material
Prognosis: 95% of adults will have increased visual acuity following surgery

Cataracts: Aftercare - Answer- Post-operative care:
Antibiotic and steroid ointments are instilled
Instruct patients to wear dark glasses or in brightly lit environments until the pupil
responds to light
Teach patient and family members how to instill the prescribed eye drops (chart 46-2,
page 962; chart 47-1 page 970)
Mild eye itching, bloodshot eye is normal
Contact surgeon immediately if any pain, reduction in vision, or s/s infection in the eye
that had the cataract removed
Avoid activities that increase IOP (table 47-2

Glaucoma: Primary Open Angle - Answer- Most common form
Develops slowly, gradual loss of visual fields
Usually affects both eyes
No S/S in early stages
Foggy Vision
Mild eye aching or headaches
Late S/S:
Halos around lights
Loss of peripheral vision

Glucoma: Primary Angle Clousure - Answer- Acute glaucoma

, Medical Emergency!
Sudden onset: Iris gets displaced forward causing angle to narrow
Ocular pain
Red eye
Decreased vision
H/A, Halo, Dilated pupil
N/V

Glaucoma Diagnosis - Answer- Measure Intraocular pressure
Normal: 10-21mmHg
Glaucoma: 22-32 mmHg
IOP measured by tonometry

Glaucoma: Drug Therapy - Answer- Timolol: Reduces production of aqueous humor by
the ciliary body
Pilocarpine: Opens the trabecular meshwork, allowing aqueous humor to flow out
Mannitol: Osmotic diuretic; removes water from aqueous humor; decreases volume of
AH leading to decrease in IOP

Glaucoma: Nursing Role - Answer- Priority nursing intervention for pt with glaucoma is
teaching

Drug (eye gtt) adherence

If more than one drug is prescribed, wait 5-10 minutes between instillations to prevent
one drug from diluting another drug

Good Handwashing

Avoid touching the tip to any part of eye

Punctal occlusion to prevent systemic absorption of the drug (BB's)

Macular Degeneration - Answer- Macula: Part of the retina responsible for central vision
Unknown etiology, there are some risk factors.
Chronic condition affecting the eyes causing progressive central vision loss

Macular Degeneration: Dry - Answer- Most Common-90% of cases
A/W Development of characteristic yellow drusen (yellow cellular debris)
Drusen accumulates in the retina causing loss of central vision

Macular Degeneration - Answer- 10% of cases
More severe faster progressing
A/W neovascularization of the choroid leading to hemorrhage and ischemia

Macular Degeneration: Symptoms - Answer- Older patient

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Scholarsstudyguide. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $12.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

81298 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$12.49
  • (0)
  Add to cart